| Michael Jack Blake, DPT | |
|
390 S Wilcox St Ste B, Castle Rock, CO 80104-1951 | |
| (303) 839-8068 | |
| (303) 835-3597 |
| Full Name | Michael Jack Blake |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 390 S Wilcox St Ste B, Castle Rock, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295560100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501303478 (Michigan) | Secondary |
| 225100000X | Physical Therapist | 20757 (Colorado) | Primary |
| Provider Name | Peak Performance Physical Therapy Plc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134428642 PECOS PAC ID: 2769660521 Enrollment ID: O20110624000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Jack Blake, DPT 390 S Wilcox St Ste B, Castle Rock, CO 80104-1951 Ph: (303) 839-8068 | Michael Jack Blake, DPT 390 S Wilcox St Ste B, Castle Rock, CO 80104-1951 Ph: (303) 839-8068 |
Advanced Physical & Sports Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 880 Happy Canyon Rd Ste 145, Castle Rock, CO 80108 Phone: 720-733-3655 Fax: 720-733-3656 | |
Danielle Grace Drogosch, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4404 Barranca Ln Ste 106, Castle Rock, CO 80104 Phone: 720-733-5280 | |
Little Stars Big Goals, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6845 Sapphire Pointe Blvd, Castle Rock, CO 80108 Phone: 303-883-3199 | |
Matthew T Somerville, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4284 Trail Boss Dr, Suite 130, Castle Rock, CO 80104 Phone: 303-663-8086 Fax: 303-663-8289 | |
Corey Michaela Craig, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 873 Lake Gulch Rd, Castle Rock, CO 80104 Phone: 303-817-6531 | |
No Limits Pt, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 725 Wilcox St, Castle Rock, CO 80104 Phone: 720-457-5535 Fax: 720-457-5535 | |
Lauren Nicole Dow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4284 Trail Boss Dr Ste 130, Castle Rock, CO 80104 Phone: 303-663-8086 Fax: 303-663-8289 |